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Early results from the use of the Lichtenstein repair in the management of strangulated groin hernia

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Abstract

Background

Use of prosthetic repairs in the management of strangulated hernias has so far been very limited due to the fear of an associated higher incidence of complications, especially those related to the presence of the mesh. The aim of this study was to prospectively determine whether the use of the Lichtenstein repair in the management of strangulated groin hernias was associated with a higher rate of wound infection and/or mesh-related complications than in the elective setting.

Patients and methods

The results obtained from the use of the Lichtenstein repair in the management of 25 patients with strangulated groin hernias (group I) were compared to those of another 25 age- and sex-matched patients undergoing Lichtenstein repair for elective groin hernia repair (group II).

Results

In group I, one patient (4%) developed a scrotal hematoma. No other postoperative complications were encountered, whether related or unrelated to the presence of the mesh. No complications were encountered in group II patients. Throughout the 20-month duration of the present study, no mesh had to be removed and no recurrences were encountered in either group.

Conclusion

The good short-term results of the present study in terms of absence of wound infection, mesh-related complications and recurrence suggest that use of the Lichtenstein repair in the management of strangulated groin hernias is safe and is not associated with a higher rate of complications compared to its use in the elective setting.

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References

  1. Pavlidis TE, Atmatzidis KS, lazaridis CN, Papaziogasa BT, Makris JG, Papaziogas TB (2002) Comparison between modern mesh and conventional non-mesh methods of inguinal hernia repair. Minerva Chir 57(1):7–12

    Google Scholar 

  2. Zieren J, Zieren HU, Jacobe CA, Wenger FA, Muller JM (1998) Prospective randomized study comparing laparoscopic and open tension-free inguinal hernia repair with Shouldice’s operation. Am J Surg 175:330–333

    Article  PubMed  CAS  Google Scholar 

  3. Amid PK (2004) Lichtenstein tension-free hernioplasty: its inception, evolution and principles. Hernia 8:1–7

    Article  PubMed  Google Scholar 

  4. Amid PK (2004) Radiologic images of meshoma: a new phenomenon causing chronic pain after prosthetic repair of abdominal wall hernias. Arch Surg 139:1297–1298

    Article  PubMed  Google Scholar 

  5. Wysocki A, Pozniczek M, Krzywon J, Bolt L (2001) Use of polypropylene prosthesis for strangulated inguinal and incisional hernias. Hernia 5:105–106

    Article  PubMed  CAS  Google Scholar 

  6. Wysocki A, Pozniczek M, Krzywon J, Strzalka M (2002) Lichtenstein repair for incarcerated groin hernias. Eur J Surg 168:452–454

    Article  PubMed  CAS  Google Scholar 

  7. Papaziogas B, Lazaridis CH, Makria J, Koutelidakis J, Patsas A, Grigoriou M, Chatzimavroudis G, Psaralexis K, Atmatzidis K (2005) Tension-free repair versus modified Bassini technique (Andrews technique) for strangulated inguinal hernia: a comparative study. Hernia 9:156–159

    Article  PubMed  CAS  Google Scholar 

  8. Pans A, Desaive C, Jacquet N (1997) Use of preperitoneal prosthesis for strangulated groin hernia. Br J Surg 84(3):310–312

    Article  PubMed  CAS  Google Scholar 

  9. Ferzli G, Shapiro K, Chaudry G, Patel S (2004) Laparoscopic extraperitoneal approach to acutely incarcerated inguinal hernia. Surg Endosc 18:228–231

    Article  PubMed  CAS  Google Scholar 

  10. Leibl BJ, Schmedt CG, Kraft K, Kraft B, Bittner R (2001) Laparoscopic transperitoneal hernia repair of incarcerated hernias: is it feasible? Surg Endosc 15:1179–1183

    PubMed  CAS  Google Scholar 

  11. Gervino L, Cangioni G, Renzi F (2000) A retrospective study on the efficacy of short-term perioperative prophylaxis in abdominal wall surgery for hernia repair in 1,254 patients. J Chemother 12(Supp l3):34–37

    PubMed  Google Scholar 

  12. Campanelli G, Nicolosi FM, Pettinari D, Contenssini Avesani E (2004) Prosthetic repair, intestinal resection and potentially contaminated areas: safe and feasible? Hernia 8:190–192

    Article  PubMed  CAS  Google Scholar 

  13. Vix J, Meyer CH, Rohr S, Bourtoul Ch (1997) The treatment of incisional and abdominal hernia with a prosthesis in potentially infected tissues—a series of 47 cases. Hernia 1:157–161

    Google Scholar 

  14. Geisler DJ, Reilly JC, Vaughan SG, Glennon EJ, Kondylis PD (2003) Safety and outcome of use of non-absorbable mesh for repair of fascial defects in presence of open bowel. Dis Colon Rectum 46:1118–1123

    Article  PubMed  Google Scholar 

  15. Stringer RA, Salameh JR (2005) Mesh herniorrhaphy during elective colorectal. Hernia 9:26–28

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of General Surgery, Faculty of Medicine, University of Alexandria, Al-Azarita, Alexandria, Egypt

    S. S. Bessa, K. M. Katri, W. N. Abdel-Salam & N. A. Abdel-Baki

  2. 20 Ismail Serry St., Semouha, Alexandria, Egypt

    S. S. Bessa

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  1. S. S. Bessa
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  2. K. M. Katri
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  3. W. N. Abdel-Salam
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  4. N. A. Abdel-Baki
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Correspondence to S. S. Bessa.

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Bessa, S.S., Katri, K.M., Abdel-Salam, W.N. et al. Early results from the use of the Lichtenstein repair in the management of strangulated groin hernia. Hernia 11, 239–242 (2007). https://doi.org/10.1007/s10029-007-0207-6

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  • DOI: https://doi.org/10.1007/s10029-007-0207-6

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